JENNIFER W. LEACH M.D. – NPI #1417165382
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

JENNIFER LEACH is a physician located in WALLA WALLA, WA. NPPES has assigned the NPI number 1417165382 to JENNIFER LEACH on May 21, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Apr 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER LEACH below.

NPI Profile for
JENNIFER W. LEACH

NPI Number
1417165382
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER W. LEACH
Credentials
M.D.
Primary location
301 W POPLAR ST
SUITE 100
WALLA WALLA, WA 99362-2858
Phone: (509) 522-5824 Fax: (509) 522-5738
Mailing address
PO BOX 34439
SEATTLE, WA 98124-1439
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIFER LEACH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR500635060
medicaidWA1417165382
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 WA MD 60212127

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
301 W POPLAR ST,
WALLA WALLA, WA 77025-1669

Additional Information

Education
DUKE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2005
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JENNIFER LEACH is affiliated with the following medical group(s):
  • HOSPITAL
    • DAYTON GENERAL HOSPITAL
      1012 SOUTH 3RD STREET
      DAYTON, WA 99328
    • GRANDE RONDE HOSPITAL
      900 SUNSET DRIVE
      LA GRANDE, OR 97850
    • PROVIDENCE ST MARY MEDICAL CENTER
      401 W POPLAR ST
      WALLA WALLA, WA 99362
    • WALLOWA MEMORIAL HOSPITAL
      601 MEDICAL PARKWAY
      ENTERPRISE, OR 97828
  • DIALYSIS FACILITY
    • DAVITA BLUE MOUNTAIN KIDNEY CENTER
      72556 COYOTE RD
      PENDLETON, OR 97801
    • QUALICENTERS - WALLA WALLA LLC
      135 Avery St
      Walla Walla, WA 99362

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.